Healthcare Provider Details

I. General information

NPI: 1609231158
Provider Name (Legal Business Name): JEFFREY FLEY DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6240 HAMILTON AVE
CINCINNATI OH
45224-2000
US

IV. Provider business mailing address

6200 PLEASANT AVE STE 3
FAIRFIELD OH
45014-4670
US

V. Phone/Fax

Practice location:
  • Phone: 513-541-7325
  • Fax:
Mailing address:
  • Phone: 513-829-9333
  • Fax: 513-858-7827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36002669
License Number StateOH

VIII. Authorized Official

Name: JEFFREY FLEY
Title or Position: DPM
Credential: DPM
Phone: 513-541-7325